Utilization Management

Position Overview:Under the supervision of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise evaluation of initial medical necessity assessments throughout the preauthorization and retrospective review processes.Work Environment:This position is remote; however, due to...

Position Overview:Under the guidance of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise management of initial medical necessity evaluations throughout the preauthorization and retrospective review processes.Work Environment:This position is primarily remote; however,...

Position Overview:Under the supervision of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise management of initial medical necessity evaluations throughout the preauthorization and retrospective review processes.Work Environment:This position is remote; however, due to...

About CVS HealthAt CVS Health, we are dedicated to a singular mission: to enhance every moment of your health journey. Our commitment is to provide human-centric healthcare solutions in a rapidly evolving landscape. We believe that the manner in which we deliver our services is as crucial as the services themselves. Our Heart At Work Behaviors embody this...

About the RoleBanner Health is seeking a highly skilled Behavioral Health Utilization Manager to join our team. As a key member of our healthcare team, you will play a critical role in ensuring that our patients receive the highest quality care.Key ResponsibilitiesManage Utilization Reviews: Conduct thorough reviews of patient cases to determine medical...

About CVS HealthAt CVS Health, we are united by a common mission: to bring compassion to every aspect of health care. Our commitment is to provide personalized, accessible, and affordable health solutions in a rapidly evolving landscape.Position OverviewThis role as a Utilization Management Nurse Consultant is entirely remote, allowing flexibility for...

About CVS HealthAt CVS Health, we are united by a common mission: to enhance the health and well-being of our communities. Our commitment to providing compassionate, personalized care is at the core of everything we do.Position OverviewThe role of the Utilization Management Nurse Consultant is a fully remote position, allowing candidates to work from any...

Job OverviewAre you a passionate individual looking to serve those who have served our nation? Join a dynamic team at TriWest Healthcare Alliance dedicated to connecting America's heroes to quality health care services. Since 1996, TriWest has been on a mission to ensure our nation's veterans and their families receive the care they deserve.Job Summary...

About the RoleThe Virtual Employee is seeking a highly motivated and detail-oriented Utility Associate to join our team. As a Utility Associate, you will be responsible for maintaining the cleanliness and organization of our facilities, ensuring a safe and healthy environment for our employees and customers.Key ResponsibilitiesCleaning and Sanitation: Clean...

Position Overview Are you ready to take on a challenging role in utility project management? As a Utility Project Manager, you will be responsible for overseeing complex utility coordination, design, and relocation projects. This position demands a high level of accountability for budget management related to utility design and relocation within...

Position Overview Are you ready to take on a challenging role in utility project management? As a Utility Project Manager, you will oversee complex utility coordination, design, and relocation efforts. This position involves significant responsibility for managing budgets associated with utility design and relocation for various transportation...

As a Public Utilities Specialist (Power Contracts & Energy Services), you will:Serve as a principal expert/project manager for developing and negotiating unique/complex multi-functional contracts for which there may be no contractual precedents or existing policy. Develop and implement new policies and procedures. Routinely represent Western in presenting...

About Jobot:Founded in 1989, Jobot has built a reputation for delivering exceptional infrastructure management and construction solutions to a diverse range of public and private sector clients. Our expertise encompasses underground utilities, pipeline rehabilitation, water and wastewater facilities, street enhancements, and much more. As a 100%...

Job Overview Are you ready to take on a challenging role in project management? As a Utility Project Manager, you will oversee complex utility coordination, design, and relocation tasks. This position demands a high level of responsibility for managing budgets related to utility design and relocation for various transportation improvement initiatives. ...

About UsNeuropsychiatric Hospitals is a leading healthcare provider with a unique approach to patient care. Our hospitals offer a comprehensive range of services, including neuropsychiatric and complex medical care, to patients with diverse needs.Job SummaryWe are seeking a highly skilled Utilization Review Specialist to join our team. As a Utilization...

Position Overview:The Legal Division is dedicated to delivering exceptional legal representation to the Corporation Commission in fulfilling its responsibilities. The matters addressed include Commission dockets, federal regulatory issues, litigation, and various administrative and special projects.Key Responsibilities:This role within the Corporation...

Job DescriptionSOLV Energy is a leading engineering, procurement, and construction (EPC) services provider for utility-scale solar, high-voltage substation, and energy storage markets across North America.Job SummaryThe EPC Regional Manager is responsible for overseeing and managing multiple construction projects within an assigned region. This role requires...

Join ELM Utility Services as an Emergency Technician! At ELM Utility Services, we pride ourselves on our commitment to safety and community service. As an Emergency Technician, you will play a vital role in ensuring the reliability of essential utility systems. Compensation: Starting pay ranges from $22 to $35 per hour, depending on qualifications. Training...

About UsNeuroPsychiatric Hospitals is a leading healthcare provider with a unique approach to patient care. Our hospitals offer a comprehensive range of services, including neuropsychiatric and complex medical care, to patients with diverse needs.Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team. As a key member of...

Job OverviewWe are looking for an experienced Underground Utilities Construction Supervisor to manage various aspects of utility projects. This role involves overseeing project planning, directing your team, scheduling, budgeting, and execution.Midwest Contracting specializes in underground wet utilities, including Storm, Sewer, Fire, and Water systems. You...